Jordan, Samantha M

Jordan, Samantha M is an individual health care provider with primary practice located at 8580 Scarborough Dr Suite 225, Colorado Springs CO 80920-7583. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jordan, Samantha M can be contacted via phone (719) 531-5400.

Contact Information

Primary practice address
8580 Scarborough Dr Suite 225 Colorado Springs CO 80920-7583
Phone: (719) 531-5400
Fax: (719) 531-9545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2544 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003956 Colorado

Profile Details

NPI number 1982702239
LBN Legal business name Jordan, Samantha M
Credentials P.A-C, MMS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982702239 NPPES
Arizona Other 2544 STATE LICENSE
Arizona Other 2544 STATE LICENSE

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